| NPI | 1760722375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW118974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218732) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2023-12-15 |